Healthcare Provider Details
I. General information
NPI: 1023302668
Provider Name (Legal Business Name): NATALIE FINK CARRITHERS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/31/2011
Last Update Date: 12/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5555 PEACHTREE DUNWOODY RD NE SUITE 201
ATLANTA GA
30342-1703
US
IV. Provider business mailing address
5555 PEACHTREE DUNWOODY RD NE SUITE 201
ATLANTA GA
30342-1703
US
V. Phone/Fax
- Phone: 404-843-3323
- Fax: 404-574-5944
- Phone: 404-843-3323
- Fax: 404-574-5944
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | RN196773 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: